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Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease [Eurasian J Pulmonol]
Eurasian J Pulmonol. 2017; 19(2): 71-75 | DOI: 10.5152/ejp.2017.98159  

Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease

Ilknur Naz1, Hülya Şahin2, Işıl Karasu3, Nimet Aksel3
1Department of Physiotherapy and Rehabilitation, İzmir Katip Çelebi University Faculty of Health Sciences, İzmir, Turkey
2Department of Pulmonary Rehabilitation, University of Health Sciences Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, İzmir, Turkey
3Department of Chest Diseases, University of Health Sciences Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, İzmir, Turkey

Objective: The relationship between acute exacerbation and exercise performance in chronic obstructive pulmonary disease (COPD) is unclear. The aim of this study was to compare exercise performance between patients with COPD who visited and did not visit an emergency department in the last year; we also aimed to investigate the correlation between frequency of emergency visits and exercise performance.
Methods: We recorded the number of emergency department visits of 206 COPD patients. The six-minute walk test, the modified Medical Research Council Dyspnea Scale, body plethysmographs, carbon monoxide diffusion tests, and arterial blood gas analysis were practiced.
Results: We had one hundred twenty seven participants visited an emergency department at least once in the last year. Exercise performance, dyspnea, pulmonary functions, and oxygenation were significantly poorer in those patients (p<0.05). The number of emergency department visits was correlated with exercise performance, dyspnea, oxygenation, forced expiratory volume in one second forced expiratory volume in one second/forced vital capacity, and carbon monoxide diffusion capacity (p<0.05).
Conclusion: Exercise performance was poor and negatively related to the frequency of emergency department visits in COPD patients. We concluded that exercise performance-enhancing implementations may contribute to reduce the frequency of emergency department visits.

Keywords: Acute exacerbation, COPD, emergency visit, exercise performance, six-minute walk test


Ilknur Naz, Hülya Şahin, Işıl Karasu, Nimet Aksel. Association between Emergency Visits with Acute Exacerbation and Exercise Performance in Chronic Obstructive Pulmonary Disease. Eurasian J Pulmonol. 2017; 19(2): 71-75

Corresponding Author: Ilknur Naz, Türkiye


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